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Rectal cancer is a major killer. Most of those dying after curative surgery suffer from recurrent disease in the pelvis. Local recurrence is also the only site of failure in up to 50% of patients. A disturbing fact is that the local recurrence rate shows considerably surgeon-related variances. There is now strong evidence that optimizing surgical technique by adopting the principle of total mesorectal excision (TME) will reduce local failure rate, increase the use of sphincter-saving operations, and improve functional results. Surgeons applying this surgical principle will consistently achieve similarly low recurrence rates.
Published by: Springer
Publication Date: 2011-09-16
Format: Paperback
ISBN-13: 9783642644382
DOI: 10.1007/978-3-642-60514-7
Dimensions: 235.0cm x155.0cm
Pages: 457.0